Cigna Denied Your Maternity / Pregnancy Care?
According to federal data, Cigna Healthcare (The Cigna Group) denies approximately 18.5% of claims. When patients appeal, about 52% are overturned. Your maternity / pregnancy care denial may have grounds for a successful appeal.Sources: KFF ACA Marketplace Transparency Data, HHS OIG Reports, state insurance department filings. Rates are aggregate averages — individual results vary by plan type, denial reason, and documentation.
Based on published government and industry research. Individual results vary based on denial type, insurer, and documentation.
Why Cigna Denies Maternity / Pregnancy Care
Services deemed not medically necessary (e.g., genetic testing)
Out-of-network delivery provider
Prior authorization not obtained for specialized maternity care
Cigna's Common Denial Tactics
Mass auto-denials (300,000 claims in 2 months at 1.2 seconds each)
Requiring step therapy for medications your doctor already tried
Denying claims as "experimental" despite FDA approval
How to Win Your Maternity / Pregnancy Care Appeal
OB-GYN letter explaining medical necessity
Documentation of high-risk pregnancy factors
ACOG guidelines supporting the specific care
Laws That Protect You
ACA — Maternity and newborn care as Essential Health Benefits
Newborns and Mothers Health Protection Act (NMHPA)
Women's Health and Cancer Rights Act
Tips for Appealing to Cigna
Reference the ProPublica investigation into automated denials
Gather evidence of prior failed treatments to counter step therapy requirements
Obtain peer-reviewed studies supporting FDA-approved treatments
Ready to Review Your Maternity / Pregnancy Care Denial?
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This information is for educational and informational purposes only. It does not constitute legal or medical advice. Statistics cited are from publicly available sources including KFF, HHS OIG, and state insurance department data. Individual results may vary. Consult a qualified professional before taking action on your specific situation.